P Praxis·MD
● Active Type 2 · Organization Subpart

St Lukes Wood River Medical Center Ltd

Medicare Defined Swing Bed Unit·Ketchum, ID· NPI 1275662546 · Enumerated 2007 · 19 years on NPI
St Lukes Wood River Medical Center Ltd is 1 of 20 medicare defined swing bed unit organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-05
Primary specialty
Medicare Defined Swing Bed Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fowler
Senior Vp, Cfo
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05

How this organization compares

Across 20 active medicare defined swing bed unit providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
100 Hospital Dr
Ketchum, ID 833409998
📞 2087882222
Mailing address
Po Box 2777
Boise, ID 837012777
📞 2083812333

Authorized official

Kathryn Fowler
Senior Vp, Cfo
📞 2083818717

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Medicare Defined Swing Bed Unit Primary
    A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
    ID license #62 taxonomy 275N00000X

Identifiers

TypeValueNotes
01 (ID) 62 STATE LIC #

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ST LUKES WOODRIVER SWINGBEDS
    Type code 3 recorded 2018-11-28
  • ST LUKES WOODRIVER SWINGBEDS
    Type code 3 recorded 2016-06-22

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of St Lukes Health System Ltd.

Provyx · Custom healthcare lists

Need all 20 Medicare Defined Swing Bed Unit providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related